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AIDS and Behavior
Published in: AIDS and Behavior 9/2016

01-09-2016 | Original Paper

How Different are Men Who Do Not Know Their HIV Status from Those Who Do? Results from an U.S. Online Study of Gay and Bisexual Men

Authors: Christian Grov, H. Jonathon Rendina, Jeffrey T. Parsons

Published in: AIDS and Behavior | Issue 9/2016

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Abstract

We compared self-described HIV-positive (31.6 %, n = 445), HIV-negative (56.8 %, n = 801), and HIV-unknown (11.6 %, n = 164) gay and bisexual men on sociodemographic and behavioral characteristics. Participants from across the U.S. were enrolled via a popular sexual networking website to complete an online survey. In total, 44.8 % of HIV-negative and HIV-unknown men said they had not been tested for HIV in the CDC-recommended last 6 months. HIV-unknown men significantly differed from HIV-negative and HIV-positive men in sexual behavior and HIV status disclosure patterns. HIV-unknown men were more willing than HIV-negative men to take PrEP; however, HIV-unknown men were significantly less likely than others to have health insurance or a primary care provider. Given the observed differences, researchers should consider analyzing men who are HIV-unknown distinctly from HIV-negative and HIV-positive men.
Literature
1.
2.
3.
4.
5.
6.
CDC. Prevalence and awareness of HIV infection among men who have sex with men: 21 cities, United States, 2008. Morb Mortal Wkly Rep. 2010;59(37):1207.
7.
Rendina HJ, Jimenez RH, Grov C, Ventuneac A, Parsons JT. Patterns of lifetime and recent HIV testing among men who have sex with men in New York City who use Grindr. AIDS Behav. 2014;18:41–9.CrossRefPubMedPubMedCentral
8.
9.
Millett GA, Ding H, Marks G, et al. Mistaken assumptions and missed opportunities: correlates of undiagnosed HIV infection among Black and Latino men who have sex with men. J Acquir Immune Defic Syndr. 2011;58(1):64–71.CrossRefPubMed
10.
CDC. HIV risk, prevention, and testing behaviors among men who have sex with men: National HIV Behavioral Surveillance System, 21 U.S. cities, United States, 2008. Morb Mort Wkly Rep. 2011;60(SS14 (SS-14):):1–34.
11.
Paz-Bailey G, Hall HI, Wolitski RJ, et al. HIV testing and risk behaviors among gay, bisexual, and other men who have sex with men: United States. Morb Mortal Wkly Rep. 2013;62(47):958–62.
12.
Das M, Chu PL, Santos GM, et al. Decreases in community viral load are accompanied by reductions in new HIV infections in San Francisco. PLoS One. 2010;5(6):e11068.CrossRefPubMedPubMedCentral
13.
Steward WT, Remien RH, Higgins JA, et al. Behavior change following diagnosis with acute/early HIV infection: a move to serosorting with other HIV-infected individuals. The NIMH Multisite Acute HIV Infection Study: III. AIDS Behav. 2009;13(6):1054–60.CrossRefPubMedPubMedCentral
14.
Marks G, Millett GA, Bingham T, Lauby J, Murrill CS, Stueve A. Prevalence and protective value of serosorting and strategic positioning among Black and Latino men who have sex with men. Sex Transm Dis. 2010;37:325–7.PubMed
15.
Van de Ven P, Kippax S, Crawford J, et al. In a minority of gay men, sexual risk practice indicates strategic positioning for perceived risk reduction rather than unbridled sex. AIDS Care. 2002;14(4):471–80.CrossRefPubMed
16.
Dubois-Arber F, Jeannin A, Lociciro S, Balthasar H. Risk reduction practices in men who have sex with men in Switzerland: serosorting, strategic positioning, and withdrawal before ejaculation. Arch Sex Behav. 2011;41:1263–72.CrossRefPubMed
17.
Tieu HV, Li X, Donnell D, et al. Anal sex role segregation and versatility among men who have sex with men: EXPLORE study. J Acquir Immune Defic Syndr. 2013;64(1):121–5.CrossRefPubMedPubMedCentral
18.
Parsons JT, Schrimshaw EW, Bimbi DS, Wolitski RJ, Gomez CA, Halkitis PN. Consistent, inconsistent, and non-disclosure to casual sexual partners among HIV-seropositive gay and bisexual men. AIDS. 2005;19(1):S87–97.CrossRefPubMed
19.
20.
McFarland W, Chen YH, Nguyen B, et al. Behavior, intention or chance? A longitudinal study of HIV seroadaptive behaviors, abstinence and condom use. AIDS Behav. 2012;16(1):121–31.CrossRefPubMedPubMedCentral
21.
Newcomb ME, Mongrella MC, Weis B, McMillen SJ, Mustanski BS. Partner disclosure of PrEP use and undetectable viral load on geosocial networking apps: frequency of disclosure and decisions about condomless sex. JAIDS J Acquir Immune Defic Syndr (in press).
22.
Hall HI, Holtgrave DR, Maulsby C. HIV transmission rates from persons living with HIV who are aware and unaware of their infection. AIDS. 2012;26(7):893–6.CrossRefPubMed
23.
Ekstrand ML, Stall RD, Paul JP, Osmond DH, Coates TJ. Gay men report high rates of unprotected anal sex with partners of unknown or discordant HIV status. AIDS. 1999;13(12):1525–33.CrossRefPubMed
24.
Parsons JT, Severino J, Nanin J, et al. Positive, negative, unknown: assumption of HIV status among HIV-positive men who have sex with men. AIDS Educ Prev. 2006;18:139–49.CrossRefPubMedPubMedCentral
25.
Grov C, Rendina HJ, Moody RL, Ventuneac A, Parsons JT. HIV serosorting, status disclosure, and strategic positioning among highly sexually active gay and bisexual men. AIDS Patient Care STDS (in press).
26.
Pantalone DW, Tomassilli JC, Starks TJ, Golub SA, Parsons JT. Unprotected anal intercourse with casual male partners in urban gay, bisexual, and other men who have sex with men. Am J Pub Health. 2015;105(1):103–10.CrossRef
27.
Bruce D, Kahana S, Harper GW, Fernández MI, the ATN. Alcohol use predicts sexual risk behavior with HIV-negative or partners of unknown status among young HIV-positive men who have sex with men. AIDS Care. 2013;25(5):559–65.CrossRefPubMed
28.
Lovejoy TI, Heckman TG, Sikkema KJ, Hansen NB, Kochman A. Changes in sexual behavior of HIV-infected older adults enrolled in a clinical trial of standalone group psychotherapies targeting depression. AIDS Behav. 2014;19(1):1–8.CrossRef
29.
Reilly KH, Neaigus A, Jenness SM, et al. Trends in HIV prevalence and risk behavior among men who have sex with men in New York City, 2004–2011. AIDS Educ Prev. 2014;26(2):134–43.CrossRefPubMed
30.
Grov C, Golub SA, Parsons JT. HIV status differences in venues where highly-sexually active gay and bisexual men meet sex partners: results from a pilot study. AIDS Educ Prev. 2010;22:496–508.CrossRefPubMed
31.
Liau A, Millett G, Marks G. Meta-analytic examination of online sex-seeking and sexual risk behavior among men who have sex with men. Sex Transm Dis. 2006;33(9):576–84.CrossRefPubMed
32.
Kurka T, Soni S, Richardson D. MSM report high use of club drugs which is associated with high risk sexual behaviour. Sex Transm Infect. 2015;91(1):A4.CrossRef
33.
Vial AC, Starks TJ, Parsons JT. Finding and recruiting the highest risk HIV-negative men who have sex with men. AIDS Educ and Prev. 2014;26(1):56–67.CrossRef
34.
Golub SA, Kowalczyk W, Weinberger CL, Parsons JT. Preexposure prophylaxis and predicted condom use among high-risk men who have sex with men. J Acquir Immune Defic Syndr. 2010;54(5):548–55.CrossRefPubMedPubMedCentral
35.
Grov C, Whitfield THF, Rendina HJ, Ventuneac A, Parsons JT. Willingness to take PrEP and potential for risk compensation among highly sexually active gay and bisexual men. AIDS Behav. 2015;19(12):2234–44.CrossRefPubMed
36.
Parsons JT, Rendina HJ, Grov C, Ventuneac A, Mustanski B. Accuracy of highly sexually active gay and bisexual men’s predictions of their daily likelihood of anal sex and its relevance for intermittent event-driven HIV Pre-exposure prophylaxis. J Acquir Immune Defic Syndr. 2015;68:449–55.CrossRefPubMedPubMedCentral
37.
Parsons JT, Rendina HJ, Ventuneac A, Moody RL, Grov C. Hypersexual, sexually compulsive, or just highly sexually active? Investigating three distinct groups of gay and bisexual men and their profiles of HIV-related sexual risk. AIDS Behav. 2015.
38.
Stall R, Mills TC, Williamson J, et al. Association of co-occurring psychosocial health problems and increased vulnerability to HIV/AIDS among urban men who have sex with men. Am J Public Health. 2003;93:939–42.CrossRefPubMedPubMedCentral
39.
Stall R, Paul JP, Greenwood G, et al. Alcohol use, drug use and alcohol-related problems among men who have sex with men: the Urban Men’s Health Study. Addiction. 2002;96(11):1589–601.CrossRef
40.
Sharma AK, Sullivan PS, Khosropour CM. Willingness to take a free home HIV test and associated factors among internet-using men who have sex with men. J Int Assoc Phys AIDS Care (JIAPAC). 2011;10(6):357–64.CrossRef
41.
42.
Huebner DM, Binson D, Pollack LM, Woods WJ. Implementing bathhouse-based voluntary counselling and testing has no adverse effect on bathhouse patronage among men who have sex with men. Int J STD AIDS. 2012;23(3):182–4.CrossRefPubMedPubMedCentral
43.
Rosenberger JG, Reece M, Schick V, et al. Sexual behaviors and situational characteristics of most recent male-partnered sexual event among gay and bisexually identified men in the United States. J Sex Med. 2011;8:3040–50.CrossRefPubMed
44.
Krakower DS, Mimiaga MJ, Rosenberger JG, et al. Limited awareness and low immediate uptake of pre-exposure prophylaxis among men who have sex with men using an Internet social networking site. PLoS One. 2012;7(3):e33119.CrossRefPubMedPubMedCentral
45.
Hirshfield S, Chiasson MA, Wagmiller RL Jr, et al. Sexual dysfunction in a U.S. internet sample of men who have sex with men. J Sex Med. 2010;7:3104–14.CrossRefPubMedPubMedCentral
46.
Hirshfield S, Schrimshaw EW, Stall RD, Margolis AD, Downing MJ, Chiasson MA. Drug use, sexual risk, and syndemic production among men who have sex with men who engage in group sexual encounters. Am J Public Health. 2015;105(9):1849–58.CrossRefPubMed
47.
Taylor BS, Chiasson MA, Scheinmann R, et al. Results from two online surveys comparing sexual risk behaviors in Hispanic, Black, and White men who have sex with men. AIDS Behav. 2012;16(3):644–52.CrossRefPubMedPubMedCentral
48.
Khosropour CM, Sullivan PS. Predictors of retention in an online follow-up study of men who have sex with men. J Med Int Res. 2011;13(3):e47.
49.
Khosropour CM, Johnson BA, Ricca AV, Sullivan PS. Enhancing retention of an Internet-based cohort study of men who have sex with men (MSM) via text messaging: randomized controlled trial. J Med Int Res. 2013;15(8):e194.
50.
Grey JA, Konstan J, Iantaffi A, Wilkerson JM, Galos D, Rosser BRS. An updated protocol to detect invalid entries in an online survey of men who have sex with men (MSM): how do valid and invalid submissions compare? AIDS Behav. 2015;1–10.
51.
Konstan JA, Simon BRS, Ross MW, Stanton J, Edwards WM. The story of subject naught: a cautionary but optimistic tale of Internet survey research. J Comput Mediat Commun. 2005;10(2).
52.
Bauermeister JA, Pingel E, Zimmerman M, Couper M, Carballo-Dieguez A, Strecher VJ. Data quality in HIV/AIDS web-based surveys: handling invalid and suspicious data. Field Methods. 2012;24(3):272–91.CrossRefPubMedPubMedCentral
53.
Teitcher JEF, Bockting WO, Bauermeister JA, Hoefer CJ, Miner MH, Klitzman RL. Detecting, preventing, and responding to “fraudsters” in Internet research: ethics and tradeoffs. J Law, Med Ethics. 2015;43(1):116–33.CrossRef
Metadata
Title
How Different are Men Who Do Not Know Their HIV Status from Those Who Do? Results from an U.S. Online Study of Gay and Bisexual Men
Authors
Christian Grov
H. Jonathon Rendina
Jeffrey T. Parsons
Publication date
01-09-2016
Publisher
Springer US
Published in
AIDS and Behavior / Issue 9/2016
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-015-1284-7

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